Document Detail


Prevalence of central vein stenosis following catheterization in patients with end-stage renal disease.
MedLine Citation:
PMID:  20814149     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine prevalence of central vein stenosis following catheterization with double-lumen temporary catheters, we performed color Doppler sonography in 100 consecutive patients. We detected central vein stenosis in 18 cases; 11 patients in subclavian vein (SCV), 4 patients in internal jugular vein (IJV) and SCV, 2 patients in SCV and brachiocephalic vein, and 2 patients in IJV stenosis. There were statistical difference between groups with and without stenosis regarding time from discontinuation of catheters and use of aspirin (ASA). We could not find any statistical difference between these two groups regarding age, sex, duration of having chronic kidney disease (CKD), and duration of catheter remaining in place. We also found that there was a high proportion of stenosis in patients who still had catheter in their veins (15 from 44 patients, 34%) in comparison with patients who had already the catheters removed from their veins (3 from 56 patients, 5%). We conclude that stenosis of central veins can result from long indwelling time of central catheter used for hemodialysis. Aspirin may have a protective role against stenosis.
Authors:
Minoo Naroienejad; Dariush Saedi; Asieh Rezvani
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia     Volume:  21     ISSN:  1319-2442     ISO Abbreviation:  Saudi J Kidney Dis Transpl     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-03     Completed Date:  2010-11-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9436968     Medline TA:  Saudi J Kidney Dis Transpl     Country:  Saudi Arabia    
Other Details:
Languages:  eng     Pagination:  975-8     Citation Subset:  IM    
Affiliation:
Department of Radiology, Iran University of Medical Sciences, Tehran, Iraq. swt_f@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anticoagulants / therapeutic use
Aspirin / therapeutic use
Catheterization, Central Venous / adverse effects*,  instrumentation
Constriction, Pathologic
Cross-Sectional Studies
Equipment Design
Female
Humans
Iran / epidemiology
Kidney Failure, Chronic / therapy*
Male
Middle Aged
Prevalence
Renal Dialysis*
Risk Factors
Time Factors
Treatment Outcome
Ultrasonography, Doppler, Color
Veins / ultrasonography
Venous Thrombosis / epidemiology*,  etiology,  prevention & control,  ultrasonography
Young Adult
Chemical
Reg. No./Substance:
0/Anticoagulants; 50-78-2/Aspirin

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